{"text":"DAILY LIVING \nNURSING ASSESSMENT \nSLEEP \nMOBILITY \nDIET \nURINARY \nBOWELS \nMENSTRUATION \nHEARING \nVISION \nPattern: \nHow many pillows? \nSedation? \nWhat else helps? \nRemarks: \nAssistance needed? \nAppetite: \nSpecial diet: \nDislikes: \nFluid preferences: \nAny problems? \nSpecial needs: \n.Frequency: \nAny problems? - \nWhat helps? \nPill\u2019 IUCD \nLMP: \nCycle: \nAny problems? \nAny~proi)lems? \nHearing aid? Battery Type? \nAny problems? \nGlasses? Contact lenses? \nLANGUAGE BARRIER\/SPEECH DIFFICULTY \nTemark: \nRECREATIONAL INTERESTS \nSMOKING (type and amount) \ne \nSOCIAL DRINKING (type and amount) \nPROSTHESIS\/APPLIANCE Type: \n_Help needed: \nGENERAL APPEARANCE\/CONDITION \nGENERAL OBSERVATIPNS 30 \nT e \u00a79 - g BP y \nHeight: \" Weight: Norton Score: \nUrine: : \nSKIN INSPECTION \nORAL INSPECTION \nCondition of mouth: \nCondition of teeth: \nDentures: Upper Lower Partial \nCrown? \nAny problems? . O \nADDITIONAL SIGNIFICANT GENERAL \nINFORMATION \nDISCHARGE\/FUTURE PLANS | p.io | Date \n. ordered| given Sign \nEducation of condition\/ \n-limitations\/rehabilitation \n{a) Patient \n(b} Relatives \nDischarge medications ... \nWafarin\/Steroid\/Tetanus card \u2019 O \nTransport home \nOut-patient appointments... \nWalking stick\/crutches \nDressings: \nOther: \nCommunity Nursing \nHome help \nMeals on wheels \nSocial worker \n\u2018Physiotherapy \nOccupational therapy \nSpeech therapy \nGeriatric waiting list \nSheltered housing 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